Organization
JOHN R PICKEN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R PICKEN MD (OWNER)
(941) 552-8808
Entity
Organization
Contact information
Practice address
3530 FRUITVILLE ROAD, SARASOA, FL 34237
(941) 552-8808
(941) 552-8805
Mailing address
3530 FRUITVILLE ROAD, SARASOA, FL 34237
(941) 552-8808
(941) 552-8805
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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